Eliza Mavis Anderson
Eliza Mavis Anderson is a Recreation Therapist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2024.
- Licensed in
- UT
- In the registry since
- 2024
Practice location Address checks out
1001 N 500 WProvo, UT 84604-3305
Phone: (801) 377-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Recreation Therapist (primary) | Taxonomy 225800000X · Licence 14195558-4003 (UT) |
|---|
Record details
| NPI number | 1770390684 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 13, 2024 |
| Last updated in NPPES | December 13, 2024 |
| Certification date | December 12, 2024 |
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